Management
For patients not stopping aspirin or nonsteroidal anti-inflammatory drugs prior to colonoscopy, the rate of postpolypectomy bleeding is not significantly different from those not on these medications [PMID:28344132].
Continuing thienopyridines during polypectomy is associated with a risk of delayed postpolypectomy bleeding approximately 2.4% [PMID:28344132].
Direct oral anticoagulants, including direct thrombin inhibitors and factor Xa inhibitors, have a rapid onset and offset of action, often negating the need for periprocedural bridging [PMID:28344132].
References
1 Feagins LA. Management of Anticoagulants and Antiplatelet Agents During Colonoscopy. The American journal of medicine 2017. link
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